{php include wl_template('common/header');}
<style>
    .fui-goods-list{width:100%;border-bottom: 1px dashed #e1ecee;padding-top:5px;padding-bottom:5px;}
    .fui-goods-list span{display: block;padding:0;}
</style>
<ul class="nav nav-tabs" id="myTab">
    <li class="active"><a href="javascript:;">发货</a></li>
</ul>
<div class="app-content">
    <div class="app-form">
    <form action="" method="post" class="form-horizontal form form-validate" >
        <div class="panel panel-default">
            <div class="panel-heading">发货</div>
            <div class="panel-body">
                <div class="form-group">
                    <label class="col-sm-2 control-label must">收件人姓名</label>
                    <div class="col-sm-9">
                        <input type="text" disabled name="receiver_name" class="form-control" value="{$address['receiver_name']}" />
                    </div>
                </div>
                <div class="form-group">
                    <label class="col-sm-2 control-label must">详细收货地址信息</label>
                    <div class="col-sm-9">
                        <input type="text" disabled name="detailed_address" class="form-control" value="{$address['detailed_address']}" />
                    </div>
                </div>
                <div class="form-group">
                    <label class="col-sm-2 control-label must">收件人手机号码</label>
                    <div class="col-sm-9">
                        <input type="text" disabled name="tel_number" class="form-control" value="{$address['tel_number']}" />
                    </div>
                </div>

                <div class="form-group">
                    <label class="col-sm-2 control-label">快递公司</label>
                    <div class="col-sm-9">
                        <select class="form-control select2" name="delivery_id" id="express">
                            {loop $companyList $value}
                            <option value="{$value['delivery_id']}" >{$value['delivery_name']}</option>
                            {/loop}
                        </select>
                    </div>
                </div>
                <div class="form-group">
                    <label class="col-sm-2 control-label must">快递单号</label>
                    <div class="col-sm-9">
                        <input type="text" name="waybill_id" class="form-control"  />
                    </div>
                </div>
            </div>
        </div>
        <div class="form-group">
            <label class="col-sm-2 control-label"></label>
            <div class="col-sm-9">
                <input type="hidden" name="id" value="{$id}" />
                <input type="hidden" name="openid" value="{$openid}" />
                <input type="submit" name="submit" value="提交" class="btn btn-primary min-width" />
                <input type="hidden" name="token" value="{$_W['token']}" />
            </div>
        </div>
    </form>
    </div>
</div>
{php include wl_template('common/footer');}






